中国中医药信息杂志2026，Vol.33Issue(5)：144-148,5.DOI:10.19879/j.cnki.1005-5304.202506526
基于"阴阳水火气血论"辨治围绝经期黄褐斑
Treatment of Postmenopausal Chloasma Based on the Theory of"Yin-yang,Water-fire and Qi-blood"
摘要
Abstract
Perimenopausal chloasma,a common pigmented skin disease in women during a special physiological stage,is characterized by a high incidence rate,easy diagnosis but difficult treatment,and a high recurrence rate.Based on the theory of"yin-yang,water-fire and qi-blood"in Xue Zheng Lun written by Tang Rongchuan,this article explored the etiology,mechanism,syndrome differentiation,and treatment of perimenopausal chloasma.It proposed that the imbalance of yin and yang is the initiating factor for the occurrence of this disease;the disorder of qi and fire is the key link in the progression of the disease course;and the mutual binding of phlegm and stasis is the core pathogenesis of the protracted illness.In treatment,first,nourishing the liver and kidney,replenishing essence and enriching blood are used to strengthen the root;second,regulating qi movement and subduing excessive fire are used to treat the symptoms;finally,resolving phlegm and removing dampness,promoting blood circulation and dispelling stasis are used to eliminate the stubborn stagnation.By regulating the smooth flow of qi and blood in the body,achieving the balance between water and fire,and maintaining nutritional equilibrium,continuous improvement of skin pigmentation can be achieved,which would provide new ideas for improving the syndrome differentiation and treatment of perimenopausal chloasma.关键词
黄褐斑/围绝经期/阴阳水火气血论Key words
chloasma/postmenopause/theory of yin-yang,water-fire and qi-blood分类
医药卫生引用本文复制引用
段佳怡,陈俊龙,蔡玲玲,张丰川..基于"阴阳水火气血论"辨治围绝经期黄褐斑[J].中国中医药信息杂志,2026,33(5):144-148,5.基金项目
北京市自然科学基金(7232295) （7232295）
北京市中医管理局"十四五"中医药重点专科(BJZKBC0015) （BJZKBC0015）
中华中医药学会2024年度基于国省标中药配方颗粒临床研究(脾胃科、皮肤科)专项(ZYPFKL202403) （脾胃科、皮肤科）
